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General NPI Number Information
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NPI Number | 1548826076
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Entity Type | Organization
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Legal Business Name | INNER WELLNESS THERAPEUTIC SERVICES, INC.
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 300 S PINE ISLAND RD STE 217
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City | PLANTATION
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State | FL
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Zip | 33324-2620
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Country | US
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Telephone | 202-599-0620
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Fax |
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Provider Business Mailing Address
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Address Line | 300 S PINE ISLAND RD STE 217
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City | PLANTATION
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State | FL
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Zip | 33324-2620
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Country | US
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Telephone | 202-599-0620
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | SABRINA J DA SILVA
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Credential | M.S., NCC, LMHC, LPC
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Telephone | 754-366-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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